Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09338 | Date 17/03/2021 |
| Token No | SM/21-22/2405 21/06/2021 | Serial | 048 Last Visit: 10/04/2023 |
| Patient Name | Mr. SWAPAN KUMAR CHATTOPADHYA | Contact No | 9903864889 |
| Address | 53DR. G, C, GOSWAMI STREET | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||